ALEXANDER NICHOLAS LOPEZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

Title

DDS

First Name

ALEXANDER

Middle

NICHOLAS

Last Name

LOPEZ

Business Name

ALEXANDER NICHOLAS LOPEZ DDS

Original Issue Date

07/19/2024

Effective Date

07/19/2024

Expiration Date

09/30/2027

City

BELVIDERE

State

Zip

61008

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2024